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Deficiency Records for The Oaks Healthcare Center

A list of the most recent deficiencies for The Oaks Healthcare Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

A list of the most recent deficiencies for The Oaks Healthcare Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2024-08-23 2024-09-25 Y
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Health 2024-07-11 2024-08-20 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2024-07-11 2024-08-20 Y
Respond appropriately to all alleged violations. Health 2024-07-11 2024-08-20 Y
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Health 2024-07-11 2024-08-20 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-07-11 2024-08-20 Y
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2024-04-19 2024-05-22 N
Have power receptacles that are properly grounded. Fire Safety 2024-04-19 2024-05-22 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2024-04-19 2024-05-22 N
Reasonably accommodate the needs and preferences of each resident. Health 2023-10-27 2023-12-11 N
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Health 2023-10-27 2023-12-11 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-10-27 2023-12-11 N
Provide enough food/fluids to maintain a resident's health. Health 2023-10-27 2023-12-11 N
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Health 2023-10-27 2023-12-11 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-10-27 2023-12-11 N
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Health 2023-10-27 2023-12-11 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-10-27 2023-12-11 N
Provide and implement an infection prevention and control program. Health 2023-10-27 2023-12-11 N
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. Health 2023-10-27 2023-12-11 Y
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Health 2022-07-13 2022-08-15 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-07-13 2022-08-15 N
Provide and implement an infection prevention and control program. Health 2022-07-13 2022-08-15 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2022-07-13 2022-08-15 N
Ensure staff are vaccinated for COVID-19 Health 2022-07-13 2022-08-15 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2022-07-13 2022-08-15 Y
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Fire Safety 2022-07-13 2022-08-05 N
Install corridor and hallway doors that block smoke. Fire Safety 2022-07-13 2022-08-05 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2022-07-13 2022-08-05 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2022-07-13 2022-08-05 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2019-12-05 2020-01-10 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2019-12-05 2020-01-10 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2019-12-05 2020-01-10 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2019-12-05 2020-01-10 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2019-12-05 2020-01-10 N
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2019-12-05 2020-01-10 N
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Health 2019-12-05 2020-01-10 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2019-12-05 2020-01-10 N
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Health 2019-12-05 2020-01-10 N
Provide and implement an infection prevention and control program. Health 2019-12-05 2020-01-10 N

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